Individual
MRS. DONNA MARIE WYSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, LPC
Contact information
Practice address
22251 STATE ROUTE 2, ARCHBOLD, OH 43502-9452
(419) 445-1552
(419) 445-1401
Mailing address
22251 STATE ROUTE 2, ARCHBOLD, OH 43502-9452
(419) 445-1552
(419) 445-1401
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C1100131
OH
104100000X
Social Worker
S0600429
OH
Other
Enumeration date
01/04/2013
Last updated
11/01/2013
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